HomeMy WebLinkAboutBuiilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/9/20 Permit Number:
Leo LUC—(fEG
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Windows
PROPosED IMPROVEMENT LOCATION:
Address: 29 Lake Vista Trail, Apt. 101 Port St. Lucie
Property Tax ID #: 3422-500-0393-000-1 Vista St Lucie Building 29 Unit 101
Site Plan Name: Oostdyk
Project Name: Oostdyk windows
Replacing 7 Windows with Impact Rated Products
Single Hung SH5500 NOA# 17-0630.05 Mull Bar NCA# 17-0630.01
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6,030.00
_Sprinklers _Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNERJLESSEE:
CONTRACTOR:
Name Steven Oostdyk
Name: William Miller
Address: 29 Lake Vista Trail Apt 101
Company: O'Donnell Impact Windows and Storm Protection
City: Port St. Lucie, FL State: _
Zip Code: 34952 Fax:
Phone No.772-577-9322
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail odonnellpermitting@gmail.com
State or County License CGC035934
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIE W INFORMATION:
DESIGNER/ENGINEER: _ N pplicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Pho e
Zip: hone:
FEE SIMPLE TIT HOLDER: _ Not Applicable
BONDIN OMPANY: _Not Applicable
Name:
Name:
Address:
Ad ss:
City:
y:
Zip: Phone:
Zip: Phone:
CrWNER/ CONTRACTOR AFFIDVIT: Application is here6y made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may. apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
With Fender or an attorney before commencing work of roco0ing Your Notice of Commencement.
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Signature Contractor/License Holder
STATE OF FILI� `
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Swor o (or affirmed) and subscribed before me of
STATE OF FLOR
COUNTY OF _ ,
Swor o (or affirmed) and subscribed before me of
Physical Prese9ce or Online Notarization
this1 day of / /t,. 2020 by
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this day o¢�c��r>. , 2020 by
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Personally Known E'1 OR Produced Identification
Name of person ma�kinngg's tement.
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Type of Identification
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